2020-10 / MARCH 9 (CONTRIBUTOR: YUAN GAO & KIRIL TRPKOV)
52 year old male presented with chronic left epididymal pain and discomfort. On physical examination, the posterior portion of left epididymis felt “nodular”. The patient had a vasectomy more than 20 years ago. Images are from the epididymectomy specimen.
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1. What is the correct diagnosis?
a. Metastatic prostate adenocarcinoma
b. Primary epididymal adenocarcinoma
c. Epididymitis nodosa with sperm granuloma
d. Tuberculosis and associated granulomas